who this practice is for
Adults who want one physician, a plan, and the evidence behind it.
This is an adult primary care practice. Most of what we look after is the long-term
health of ordinary life, with prevention at the front and a bias toward doing the right amount, not the
most. Here is what that means in practice, and whether it fits you.
what we manage
Mostly long-term conditions, with prevention first.
Prevention, done on the evidence
Screenings and risk numbers on the schedule the U.S. Preventive Services Task Force grades A or B: the independent panel that weighs benefit against harm for every preventive service.1 Things that are due land on your prevention plan, your calendar and your phone. Prevention is 14 of the 27 hours a day a full panel would need; it is what a small panel protects.2
The long-term conditions of adult life
Blood pressure, blood sugar, cholesterol, weight, thyroid, and the like: the conditions that are managed over years, not visits. Home readings flow into your health log; dose changes happen on trends, not on a rushed recheck. Seeing the same physician over time is itself associated with lower mortality.3
Evidence-based medicine
Each medication reviewed against the trials behind it, each screening against the task force grade, each result read out loud with a reason. When the evidence is thin, we say so rather than guess.
Less is more, when it is safe
More tests, imaging and prescriptions do not reliably mean better health; some carry harms that outweigh their benefit.4 We follow the AAFP's Choosing Wisely recommendations on tests and treatments to question before ordering,5 and we will take a medication away as readily as we add one.
Strength and movement as vital signs
A movement lab in the office. Squat, hinge, walk: a real baseline to train against, because how you move predicts how you age.
The everyday
The cough, the rash, the question that comes up between visits. A message, a video visit, or a same-week appointment. An acute-care lane for same-day visits opens with the office.
the fit
Is this for you?
This is for you if you want
- ✓One physician who knows you, at every visit.
- ✓Prevention scheduled and done.
- ✓Long-term conditions managed on trends, with the reasoning explained.
- ✓A doctor who does less when less is right.
- ✓Your record and portal on the practice's own servers.
- ✓The Reston office in person, or video from anywhere in Virginia when that is easier.
What we refer out
- ·Children. We are an adult practice.
- ·Controlled pain and psychiatric medications. Managed by the specialists who do them best.
- ·Insurance billing. The membership is the fee.
- ·Emergencies. Call 911 or go to the nearest emergency room. Membership covers primary care.
- ·Specialist-led conditions. We coordinate and stay involved.